tendinopathies

Question 1

tendinitis is ___ of the tendon

Answer 1

inflammation

Question 2

tendinitis is inflammation of the tendons resulting from ___ that happen when the musculotendious unit is ___ overloaded

Answer 2

micro-teras; acutely overloaded with force that is too heavy or sudden

Question 3

symptoms of tendinitis

Answer 3

swelling, heat, and pain

Question 4

tendinosis is ___ of the tendons ____ in response to ___ _____

Answer 4

degeneration of the tendons collagen in response to chronic overuse

Question 5

symptoms of tendinosis

Answer 5

pain
stiffness
restricted movement

Question 6

tenosynovitis is tendinitis with inflmmation of the tendons

Answer 6

synovial sheath lining

Question 7

symptoms of tenosynovitis

Answer 7

pain w motion
tenderness w palpation
swelling

Question 9

treatment for tendinitis includes

Answer 9

RICE and PAMS to decrease inflammation
NSAIDS
injections

Question 10

treatment for tendinosis

Answer 10

activity modification
NO NSAIDS or injections because they inhibit collagen repairs

Question 11

healing timelines for tendinitis versus tedinosis

Answer 11

6 weeks itis
3-6 months osis

Question 12

lateral epicondylosis/tennsi elbow most commonly involves what muscle

Answer 12

ECRB

Question 13

lateral epicondylosis is tender where

Answer 13

at the lateral epicondyle

Question 14

lateral epicondylosis complaints of ___ aching and ____ elbow stiffness

Answer 14

nigthtime aching and morning elbow stiffness

Question 15

lateral epicondylosis there is pain with what actions

Answer 15

gripping, resisted wrist extension, supination, finger flexion, radial deviation

Question 16

tennis elbow special test resisted middle finger

Answer 16

elbow extended, pronation, fingers extended
apply pressure distal to proximal phalanx of the middle finger

Question 17

tennis elbow cozen’s test

Answer 17

elboe 90 degrees, pronated
apply pressure and extend wrist while RD

Question 18

Mills Test

Answer 18

palpate lateral epicondyle while pronated
passivley flex wrist and then extend elbow

Question 19

what orthosis can be worn for tennis elbow

Answer 19

volar wrist orthosis with wrist extended 20-35 degrees

Question 20

with a counterforce brace where is it placed for lateral epicondylosis

Answer 20

over extensor muscle mass

Question 21

with counterforce brace where is it placed for medial epicondylosis

Answer 21

over flexor muscle mass

Question 22

counterforce brace decreased the ___ of the muscle contraction

Answer 22

magnitude

Question 23

phase 1 of non-operative treatment for tennis elbow is

Answer 23

pain releif and tendon lengthening

Question 24

phase 2 of tennis elbow treatment is

Answer 24

strengthening

Question 25

during phase 1 of tennis elbow avoid lifting objects when FA is

Answer 25

pronated

Question 26

stretching exercises for tennis elbow are

Answer 26

passively flex wrist and UD w elbow fully extended -- every 2-3 hours; 3-5 reps, 20-30 second holds

Question 27

___ strengthening for phase 2 of tennis elbow treatment adn avoid ___ exercises in ealry phases

Answer 27

eccentric; concentric

Question 28

medial epicondylosis/golfers elbow most commonly involves which muscles

Answer 28

pronator teres and FCR

Question 29

stretch protocols for golfers elbow

Answer 29

FA supinated, elbow extended and passively extended wrist

Question 30

orthosis for golfers elbow is

Answer 30

volar wirst orthosis with wrist in 0 degrees extension

Question 31

DeQuervains tensosynovitis involves tendon sheaths of which muscles

Answer 31

EBP and APL as they pass the 1st dorsal compartment

Question 32

pain is where with DeQuervains

Answer 32

radial styloid

Question 33

MOT for DeQuervains

Answer 33

forceful or repetivie grasps with UD repetitive thumb abduction or thumb MCP flexion

Question 34

Finkelstein test for DeQuervines

Answer 34

clinet makes afist with thumb isndie and therpaist UD wrist while stabilizing FA

Question 35

avoid which movements for DeQuervains

Answer 35

tumb MCP flexion and UD

Question 36

with trigger finger the tendon locks or cathes during what movemet

Answer 36

flexion of digit

Question 37

where are trigger fingers usually located

Answer 37

A1 pulley which is volar to MCP

Question 38

which fingers are most often affected by trigger finger

Answer 38

thumb, middle, and ring fingers

Question 39

avoid what activities with trigger finger

Answer 39

gripping activities

Question 40

there is swelling or nudles where for trigegr finger

Answer 40

flexor tendon sheath

Question 41

trigger finger exercises with splint

Answer 41

hook fist for 20 reps every 2 hours

Question 42

trigger finger splint is a digit orthosis which is

Answer 42

volar spint and allows IP flexion, MCP in 0 degrees flexion

Question 43

digits 2-5 have what type of pulleys

Answer 43

5 annular pulleys (A1-5) and 3 cruciate pulleys (C1-3)

Question 44

A1, A3, A5 overlie what and attach to what

Answer 44

MP, DIP, and PIP and attach to volar plates

Question 45

A1 is what

Answer 45

trigger finger

Question 46

which pulleys are most biomechanically importnat

Answer 46

A2 and 4

Question 47

why are A2 and A4 importnat

Answer 47

prevent bowstringing

Question 48

what do cruciate pulleys do

Answer 48

prevent sheath collapse

Question 49

finger pulleys help maintain tendon....

Answer 49

against the bone

Question 50

the thumb haas what pulleys

Answer 50

oblique pulley 2 annular pulleys AV pulley

Question 51

which pulley in the thumb is most important ?

Answer 51

oblique pulley

Question 52

oblique pulley function

Answer 52

facilitates full excersion of FPL

Question 53

which pulley of the thumb helps prevent bowstringing

Answer 53

AV pulley and if A1 AND oblique pulleys lose